Performance-based financing; Health systems; Developing countries
Abstract :
[en] Over the past 15 years, performance-based financing has been implemented in an increasing number of developing countries, particularly in Africa, as a means of improving health worker performance. Scaling up to national implementation in Burundi and Rwanda has encouraged proponents of performance-based financing to view it as more than a financing mechanism, but increasingly as a strategic tool to reform the health sector. We resist such a notion on the grounds that results-based and economically driven interventions do not, on their own, adequately respond to patient and community needs, upon which health system reform should be based. We also think the debate surrounding performance-based financing is biased by insufficient and unsubstantiated evidence that does not adequately take account of context nor disentangle the various elements of the performance-based financing package.
Disciplines :
Public health, health care sciences & services
Author, co-author :
Ireland, Megan; Université Libre de Bruxelles - ULB > Ecole de Santé Publique > Politiques et Programmes en Santé Internationale
Paul, Elisabeth ; Université de Liège - ULiège > Institut des sciences humaines et sociales > Sociologie du développement
Dujardin, Bruno; Université Libre de Bruxelles - ULB > Ecole de Santé Publique > Politiques et Programmes en Santé Internationale
Language :
English
Title :
Can performance-based financing be used to reform health systems in developing countries?
Alternative titles :
[fr] Le financement lié aux résultats peut-il être utilisé pour réformer les systèmes de santé dans les pays en voie de développement?
Publication date :
September 2011
Journal title :
Bulletin of the World Health Organization
ISSN :
0042-9686
eISSN :
1564-0604
Publisher :
World Health Organization, Geneva, Switzerland
Volume :
89
Issue :
9
Pages :
695-698
Peer reviewed :
Peer Reviewed verified by ORBi
Name of the research project :
GRAP-PA Santé
Funders :
CUD - Commission Universitaire pour le Développement [BE]
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